HCPCS E0483
High Frequency Chest Wall Oscillation ICD-10 Codes
Full list of Medicare approved ICD-10 Codes for AffloVest HFCWO
Medicare Requirements for Bronchiectasis:
1.) Required: CT Scan confirming diagnosis of bronchiectasis.
AND
2.) Required: Daily productive cough for at least 6 continuous months.
OR
Frequent (i.e. more than 2/year) exacerbations requiring antibiotic therapy.
AND
3.) Required: Documentation (chart notes) of another treatment (flutter valve,
percussion, postural drainage, breathing techniques, suctioning) tried to mobilize
secretions and clearly indicating the other technique or device has failed.
| ICD-10 Code | Description |
| J47.0 | Bronchiectasis with acute lower respiratory infection |
| J47.1 | Bronchiectasis with (acute exacerbation |
| J47.9 | Bronchiectasis, uncomplicated |
| Q33.4 | Congenital Bronchiectasis |
Medicare Requirements for Other Respiratory Disorders, Cystic Fibrosis and Neuromuscular Conditions:
Physicians order that includes: AffloVest prescription, qualifying Dx, chart notes to support the Dx, and well-documented failure of standard treatments to adequately mobilize retained secretions.
| ICD-10 Code | Description |
| J98.6 |
Disorders of diaphragm |
| E84.0 | Cystic Fibrosis with Pulmonary Manifestations |
| E84.9 | Cystic Fibrosis, unspecified |
| A15.0 | Tuberculosis of lung |
| B91 | Sequelae of Poliomyelitis |
| D84.1 | Defects in the complement system |
| D81.810 | Biotinidase deficiency |
| D81.82 | Activated phosphoinositide 3-kinase delta syndrome [apds] |
| G12.0 | Infantile spinal muscular atrophy, type I (Werdnig-Hoffman) |
| G12.1 | Other inherited spinal muscular atrophy |
| G12.20 | Motor neuron disease, unspecified |
| G12.21 | Amyotrophic lateral sclerosis |
| G12.22 | Progressive bulbar palsy |
| G12.23 | Primary lateral sclerosis |
| G12.24 | Familial motor neuron disease |
| G12.25 | Progressive spinal muscle atrophy |
| G12.29 | Other motor neuro disease |
| G12.8 | Other spinal muscular atrophies and related syndromes |
| G12.9 | Spinal muscular atrophy, unspecified |
| G14 | Postpolio syndrome |
| G35 | Multiple sclerosis |
| G71.00 | Muscular dystrophy, unspecified |
| G71.01 | Duchenne or Becker muscular dystrophy |
| G71.02 | Facioscapulohumeral muscular dystrophy |
| G71.031 | Autosomal dominant limb girdle muscular dystrophy |
| G71.032 | Myotonic muscular dystrophy |
| G71.033 | Limb girdle muscular dystrophy due to dysferlin dysfunction |
| G71.0340 | Limb girdle muscular dystrophy due to sarcoglycan dysfunction, unsp |
| G71.0341 | Limb girdle muscular dystrophy due to alpha sarcoglycan dysfunction |
| G71.0342 | Limb girdle muscular dystrophy due to beta sarcoglycan dysfunction |
| G71.0349 | Limb girdle muscular dystrophy due to other sarcoglycan dysfunction |
| G71.035 | Limb girdle muscular dystrophy due to anoctamin-5 dysfunction |
| G71.038 | Other limb girdle muscular dystrophy |
| G71.039 | Limb girdle muscular dystrophy, unspecified |
| G71.09 | Other specified muscular dystrophies |
| G71.11 | Myotonic muscular dystrophy |
| G71.12 | Myotonia congenita |
| G71.13 | Myotonic chondrodystrophy |
| G71.14 | Drug induced myotonia |
| G71.19 | Other specified myotonic disorders |
| G71.2 | Congenital myopathies |
| G71.21 | Nemaline myopathy |
| G71.220 | X-linked myotubular myopathy |
| G71.228 | Other centronuclear myopathy |
| G71.29 | Other congenital myopathy |
| G71.3 | Mitochondrial myopathy not elsewhere classified |
| G71.8 | Other primary disorders of muscles |
| G72.0 | Drug-induced myopathy |
| G72.1 | Alcoholic myopathy |
| G72.2 | Myopathy due to other toxic agents |
| G72.89 | Other specified myopathies |
| G73.7 | Myopathy in diseases classified elsewhere |
| G80.0 | Spastic quadriplegic cerebral palsy |
| G82.50 | Quadriplegia, unspecified |
| G82.51 | Quadriplegia, C1-C4 complete |
| G82.52 | Quadriplegia, C1-C4 incomplete |
| G82.53 | Quadriplegia, C5-C7 complete |
| G82.54 | Quadriplegia, C5-C7 incomplete |
| M32.82 | Systemic sclerosis with myopathy |
| M33.02 | Juvenile dermatopolymyositis with myopathy |
| M33.12 | Other dermatopolmyositis with myopathy |
| M33.22 | Polymyositis with myopathy |
| M33.92 | Dermatopolymyositis, unspecified with myopathy |
| M34.82 | Systemic sclerosis with myopathy |
| M35.03 | Sicca syndrome with myopathy |